
<!--WSTAG name="prog_suivant" -->

<script language="javascript">
		jQuery(document).ready(function(){
			// binds form submission and fields to the validation engine
			jQuery("#form").validationEngine({autoHidePrompt:true, autoHidePromptDelay:400});
			jQuery(".cmd_envoi #command table#command_table tbody td:first-child").next().attr('colspan',2);
			jQuery(".cmd_envoi #command table#command_table tbody td input").removeAttr('disabled');
			jQuery(".cmd_envoi #command table#command_table tbody td input").attr('readonly','readonly');
			//jQuery(".commande_envoi input:first").click(jQuery('#form').validationEngine('detach'););
</script>

<form class="formular cmd_envoi" method="post" action="" name="commande" id="form">

  <!--WSTAG name="monnaie_doc" -->

  <!--WSTAG name="article_ent" -->

  <!--WSTAG name="article_sais" -->

  <!--WSTAG name="article_bas" -->

  <input type="hidden" name="refs" value="?" />
  <input type="hidden" name="refd" value="?">

  <input type="hidden" name="par-id" value="?" />

  <input type="hidden" name="par-noseq" value="?" />

  <input type="hidden" name="par-nosui" value="?" />

  <input type="hidden" name="par-retour" value="?" />

  <input type="hidden" name="lang" value="?" />




  <!--WSTAG name="texte01" -->
  <!--WSTAG name="texte02" -->
  <!--WSTAG name="texte03" -->
  <!--WSTAG name="texte04" -->
  <!--WSTAG name="texte05" -->


<fieldset class="half half1">
	<label>
		<!--WSTAG name="lab_adr" -->
	</label>
	<div class="civil">
		
        <input name="civilf" type="radio" id="civilf1" value="Mo" checked="checked"><label class="civil" for="civilf1"><!--WSTAG name="lab-mo" --></label>
        <input name="civilf" type="radio" id="civilf2" value="Ma"><label  for="civilf2" class="civil"><!--WSTAG name="lab-ma" --></label>
		<input name="civilf" type="radio" id="civilf3" value="Me"><label  for="civilf3" class="civil"><!--WSTAG name="lab-me" --></label>
	</div>
	
	<label>	
		<span class="mandatory">*</span><!--WSTAG name="lab_nom" -->
		<input type="text" class="validate[required] text-input" name="nomfx" id="nomf3" />
	</label>	
	
	<label>	
		<span class="mandatory">*</span><!--WSTAG name="lab_prenom" -->
		<input type="text" class="validate[required] text-input" name="prenomf" id="prenomf" />
	</label>	

	<label>	
		<span class="mandatory">*</span><!--WSTAG name="lab_adresse" -->
		<input type="text" class="validate[required] text-input" name="adr1f" id="adr1f" />
		<input type="text" class="text-input" name="adr2f" id="adr2f" />
		<input type="text" class="text-input" name="adr3f" id="adr3f" />	
	</label>
	
	<div class="half">
		<label>
			<span style="width:100%;float:left"><span class="mandatory">*</span><span><!--WSTAG name="lab_local" --></span></span>
			<input name="nopostf" type="text" id="nopostf" maxlength="10" class="validate[required,custom[integer]] text-input">
			<input name="localf" type="text" id="localf" maxlength="50" class="validate[required] text-input">
		</label>
	</div>

		
	<label>
		<span class="mandatory">*</span>commande_envoi <!--WSTAG name="lab_pays" -->
		<select size="1" id="paysf"  onchange="document.commande.submit();" name="paysf" class="validate[required]">
        </select>
	</label>
	<label>
		<!--WSTAG name="lab_tel" -->
		<input type="text" class="text-input" name="telf" id="telf" />
	</label>	
	<label>
		<span class="mandatory">*</span><!--WSTAG name="lab_mail" -->
		<input name="emailx" type="text" id="emailx" class="validate[required,custom[email]] text-input" />
	</label>
</fieldset>
  
  
<fieldset class="half">
	<label>
		<!--WSTAG name="lab_livr" -->
	</label>
	<div class="civil">
        <input name="civill" type="radio" id="civill1" value="Mo" checked="checked"><label class="civil" for="civill1"><!--WSTAG name="lab-mo" --></label>
        <input name="civill" type="radio" id="civill2" value="Ma"><label  for="civill2" class="civil"><!--WSTAG name="lab-ma" --></label>
		<input name="civill" type="radio" id="civill3" value="Me"><label  for="civill3" class="civil"><!--WSTAG name="lab-me" --></label>
	</div>
	<label>
		<!--WSTAG name="lab_nom" -->
		<input type="text"  class="text-input" id="nomlx" name="nomlx" />
	</label>
	
	<label>
		<!--WSTAG name="lab_prenom" -->
		<input type="text" class="text-input" id="prenoml" name="prenoml" />
	</label>

	<label>
		<!--WSTAG name="lab_adresse" -->
		<input type="text" class="text-input" id="adr1l" name="adr1l" />
		<input type="text" class="text-input" id="adr2l" name="adr2l" />
		<input type="text" class="text-input" id="adr3l" name="adr3l" />
	</label>	
	
	<div class="half">
		<label>
			<span style="width:100%;float:left"><!--WSTAG name="lab_local" --></span>
			<input name="nopostl" type="text" id="nopostl" maxlength="8" class="text-input">
			<input name="locall" type="text" id="locall" maxlength="50" class="text-input">
		</label>
	</div>


	<label>
		<!--WSTAG name="lab_pays" -->
		<select size="1" id="paysl"  name="paysl" onchange="document.commande.submit();">
        </select>
	</label>
</fieldset>

<fieldset>
<label class="full">
    <!--WSTAG name="lab_ref" -->
	<input id="ref" name="ref" class="text-input" />		
</label>
				
	
<label class="full">
	<!--WSTAG name="lab_mess" -->
	<textarea id="message" name="message"></textarea>	
</label>	

<label class="full">	
	<input type="checkbox" name="cgv" id="cgv" class="validate[required] checkbox" />
	<span class="checkbox"><!--WSTAG name="lab_cgv" --></span>
</label>

<label class="full">	
	<input type="checkbox" name="news" id="news" value="ON" checked class="checkbox"/>
	<span class="checkbox"><!--WSTAG name="lab_news" --></span>
</label>
	
<div class="commande_envoi">
	<!--WSTAG name="validation" -->
</div>


<div style="display:none;">
<!--WSTAG name="err_adr" -->
<!--WSTAG name="err_cgv" -->
<!--WSTAG name="lab_mobli" -->
</div>

</fieldset>
<div class="navigation" style="display:none;">
  <!--WSTAG name="navigue" -->
</div>
</form>

<!-- tbr_commande_envoi.w -->


